MR. GARTH ELLIOTT (NPI# 1871652560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871652560 |
| Entity Type | Individual |
| Full Name | MR. GARTH ELLIOTT |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
Langley Afb Hospital Hampton VA 23665 |
| Mailing Address |
207 Loyal Ln Newport News VA 23602-6268 |
| Practice Telephone | 7577646950 |
| Mailing Telephone | 7577646950 |
| Mailing Fax Number | 7577640786 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0110 001052 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
LANGLEY AFB HOSPITAL |
| City | HAMPTON |
| State | VA |
| Zip Code | 23665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228938 | Mai Stern | Student in an Organized Health Care Education/Training Program | Langley Afb Dental Clinic, Hampton, VA 23665 | 2020-06-05 |
| 1386273449 | Nicholas Thomas Nelson | Military Health Care Provider | 633d Medical Group, 76 Nealy Ave, Building #92, Apo, AA 23665 | 2020-04-02 |
| 1316574809 | Kimberly C Easterling | Student in an Organized Health Care Education/Training Program | 76 Nealy Avenue, Joint Base Langley-eustis, Hampton, VA 23665 | 2020-03-24 |
| 1851950026 | Erin Leigh Baldridge | Dentist | Joint Base Langley Eustis Dental Clinic, 76 Nealy Ave, Apo, AA 23665 | 2019-06-11 |
| 1669950739 | Anthony Interrante IIi | Nurse Practitioner | Usaf Hospital Langley, 77 Nealy Avenue, Hampton, VA 23665 | 2018-08-01 |
| 1588189310 | Stacey Marie Jackson | Psychologist | 11 Nealy Blvd, Hampton, VA 23665 | 2017-08-14 |
| 1285062216 | Michael John Vietti | Physician Assistant | 633 Mdg 77 Nealy Ave, Yorktown, VA 23665 | 2013-10-30 |
| 1396182234 | Micaela Jane Dagucon | General Practice | 633d Mdg/sghc, 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665 | 2013-06-02 |
| 1912212051 | Michele Leigh Shirley | Pharmacist | 633d Medical Group Hospital, 77 Nealy Avenue, Building 257, Joint Base Langley-eustis, VA 23665 | 2010-08-13 |
| 1497915219 | Stephen Warren Porter | Dentist | 76 Nealy Ave, 1st Dental Squadron/sgd, Langley Air Force Base, VA 23665 | 2008-06-16 |
| Find all providers in zip 23665 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487279865 | Alison Grant | Physician Assistant | 402 Dunham Massie Dr, Hampton, VA 23669-1744 | 2020-06-11 |
| 1245796655 | Lauren E Leuck | Physician Assistant | 3000 Coliseum Dr Ste 104, Hampton, VA 23666-5963 | 2019-02-11 |
| 1477018604 | Johanna Laurel Chua | Physician Assistant | 55 High St Ste 201, Hampton, NH 03842-2213 | 2019-02-01 |
| 1144626789 | Heidi Barnes | Physician Assistant | 1045 Porte Harbour Arch, Hampton, VA 23664-1552 | 2014-11-10 |
| 1376870394 | Gabrielle A Lanzetta | Physician Assistant | 901 Enterprise Pkwy Ste 900, Hampton, VA 23666 | 2009-11-12 |
| 1114139474 | Herbert Wayne Smiley | Physician Assistant | 2202 Executive Dr Ste C, Hampton, VA 23666-6604 | 2007-05-07 |
| 1225066517 | Jezeriah Wayne Cook | Physician Assistant | 9 Manhattan Sq Ste A, Hampton, VA 23666-6262 | 2006-06-28 |
| 1134160468 | Joel Shedd | Physician Assistant | 1058 Bear Creek Blvd, Hampton, GA 30228-1849 | 2006-06-09 |
| 1447222344 | Tara Hensley | Physician Assistant | 1720 Central Avenue East, Hampton, IA 50441 | 2006-02-03 |
| 1598735581 | Shawn Michael Blair | Physician Assistant | 9 Manhattan Square, Suite A, Hampton, VA 23666 | 2006-01-24 |
| Find all providers in HAMPTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.